Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.57 / $1,497.48 / $2,613.42	Professional		$1,470.57	$1,497.48	$2,613.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.40 / $1,981.14 / $2,211.82	Professional		$1,618.40	$1,981.14	$2,211.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.14 / $2,293.13 / $2,770.23	Facility		$1,305.14	$2,293.13	$2,770.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.79 / $1,952.35 / $2,231.26	Professional		$1,840.79	$1,952.35	$2,231.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,818.27 / $2,026.07	Professional		$32.34	$1,818.27	$2,026.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,499.79 / $12,228.99 / $15,681.77	Facility		$6,499.79	$12,228.99	$15,681.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,753.42 / $1,753.42 / $2,155.90	Professional		$1,753.42	$1,753.42	$2,155.90
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $10,167.24 / $17,870.00	Facility		$9,360.00	$10,167.24	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.51 / $1,664.51 / $2,465.69	Professional		$1,202.51	$1,664.51	$2,465.69